{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T08:45:29Z","timestamp":1776674729619,"version":"3.51.2"},"reference-count":17,"publisher":"Ubiquity Press, Ltd.","issue":"1","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","award":["7200AA18C00074"],"award-info":[{"award-number":["7200AA18C00074"]}],"id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["89"],"abstract":"<jats:p>Background: The United States Agency for International Development Medicines, Technologies, and Pharmaceutical Services (MTaPS) program supported partner countries to implement infection prevention and control (IPC)\u2011related programs. We evaluated the extent to which MTaPS\u2011supported IPC programs fostered local ownership, such that members of local or national\u2011level health systems had agency in developing and running programs.\nMethods: We surveyed three respondent groups involved in MTaPS IPC programs across eight African countries: (1) healthcare facility staff, (2) national\u2011level stakeholders, and (3) MTaPS\u2011contracted country implementers. Multiple\u2011choice survey questions asked respondents to rate the quality of collaboration and capacity\u2011building between their country and MTaPS, and the extent to which MTaPS fosters local ownership. Open\u2011response questions inquired about factors that did or did not foster local ownership. We described the proportion of respondents reporting each multiple\u2011choice response option, and conducted qualitative content analysis of open responses to generate themes about respondent perceptions of MTaPS support and local ownership.\nResults: We included 85 survey respondents: health facility staff (56%), MTaPS\u2011contracted country implementers (29%) and national\u2011level stakeholders (14%). Nearly all respondents rated the quality of MTaPS collaboration and capacity building \u201cgood\u201d or \u201cexcellent.\u201d Overall, 75%\u201392% of respondents rated the quality of MTaPS collaboration and capacity strengthening as \u201cmostly\u201d supportive of local ownership and 8%\u201325% rated it \u201csometimes,\u201d supportive (0% selected \u201crarely\/never\u201d). Qualitatively, respondents described six activities as conducive to local ownership, including training, data collection\/monitoring, stakeholder engagement, guideline\/protocol standardization, creation\/development of local committees, and supervision\/mentorship\/direct technical assistance. A reported barrier to MTaPS\u2019 support of local ownership was the inconsistent implementation of activities.\nConclusions: IPC programs should continue to prioritize strategies for fostering local ownership, particularly as the funding landscape shifts. To increase IPC program sustainability in advance of future infectious disease threats, additional resources are needed to scale up activities perceived as conducive to local ownership.<\/jats:p>","DOI":"10.5334\/aogh.5198","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T07:03:12Z","timestamp":1776322992000},"page":"40","source":"Crossref","is-referenced-by-count":0,"title":["Fostering local ownership of infection prevention and control strategies: a multi-country program"],"prefix":"10.5334","volume":"92","author":[{"given":"Nicole C.","family":"McCann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanette L.","family":"Kaiser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy A.","family":"Scott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara","family":"Hafner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"Zagorski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohan P.","family":"Joshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fozo","family":"Alombah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison Juntunen","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Antonio","family":"Requejo Dom\u00ednguez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronika J.","family":"Wirtz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3285","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"key20260420072544_r1","unstructured":"World Health Organization. Infection prevention and control [Internet]. n.d. Accessed April 10, 2024, https:\/\/www.who.int\/health-topics\/infection-prevention-and-control#tab=tab_1."},{"issue":"1","key":"key20260420072544_r2","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/s40545-021-00309-8","article-title":"Strengthening multisectoral coordination on antimicrobial resistance: A landscape analysis of efforts in 11 countries","volume":"14","year":"2021","journal-title":"J Pharm Policy Pract"},{"key":"key20260420072544_r3","unstructured":"World Health Organization. International health regulations [Internet]. n.d. Accessed April 11, 2024, https:\/\/www.who.int\/health-topics\/international-health-regulations#tab=tab_1."},{"issue":"1","key":"key20260420072544_r4","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s42522-023-00081-6","article-title":"Moving from assessments to implementation: Promising practices for strengthening multisectoral antimicrobial resistance containment capacity","volume":"5","year":"2023","journal-title":"One Health Outlook"},{"key":"key20260420072544_r5","unstructured":"World Health Organization. Infection prevention and control: Core components for IPC [Internet]. n.d. Accessed April 11, 2024. https:\/\/www.who.int\/teams\/integrated-health-services\/infection-prevention-control\/core-components."},{"key":"key20260420072544_r6","unstructured":"Interpeace. Local leadership to local ownership\u2014An essential element for effective peacebuilding and conflict prevention. Published 2018. Accessed January 26, 2025. https:\/\/www.interpeace.org\/wp-content\/uploads\/2020\/03\/Why_Local_ownership_matters-policy_note-21-Sept.pdf."},{"key":"key20260420072544_r7","unstructured":"World Health Organization. Community engagement: A health promotion guide for universal health coverage in the hands of the people [Internet]. Published 2020. Accessed April 10, 2024. https:\/\/www.who.int\/publications\/i\/item\/9789240010529."},{"key":"key20260420072544_r8","unstructured":"World Health Organization. WHO community engagement framework for quality, people\u2011centred and resilient health services. Published 2017. Accessed August 8,2024. https:\/\/www.who.int\/publications\/i\/item\/WHO-HIS-SDS-2017.15."},{"key":"key20260420072544_r9","unstructured":"Qualtrics Research Suite [Internet]. n.d. Accessed April 10, 2024. https:\/\/www.bu.edu\/tech\/services\/cccs\/desktop\/distribution\/qualtrics\/."},{"key":"key20260420072544_r10","unstructured":"Google Translate. Google LLC. n.d. Accessed April 10, 2024, https:\/\/translate.google.com\/."},{"key":"key20260420072544_r11","unstructured":"Columbia Mailman School of Public Health. Content Analysis. n.d. Accessed April 10, 2024. https:\/\/www.publichealth.columbia.edu\/research\/population-health-methods\/content-analysis#:~:text=Courses-,Overview,words%2C%20themes%2C%20or%20concepts."},{"key":"key20260420072544_r12","first-page":"21851","article-title":"Towards a framework for a collaborative support model to assist infection prevention and control programmes in low\u2011 and middle\u2011income countries: A scoping review","volume":"19","year":"2023","journal-title":"Int J Integr Care"},{"issue":"11","key":"key20260420072544_r13","doi-asserted-by":"crossref","first-page":"e0276849","DOI":"10.1371\/journal.pone.0276849","article-title":"Working toward sustainability: Transitioning HIV programs from a USA\u2011based organization to a local partner in Zimbabwe","volume":"17","year":"2022","journal-title":"PLoS ONE"},{"issue":"3","key":"key20260420072544_r14","doi-asserted-by":"crossref","first-page":"e001504","DOI":"10.1136\/bmjgh-2019-001504","article-title":"Creation of a national infection prevention and control programme in Sierra Leone, 2015","volume":"4","year":"2019","journal-title":"BMJ Glob Health"},{"issue":"1","key":"key20260420072544_r15","doi-asserted-by":"crossref","first-page":"2138","DOI":"10.1186\/s12889-021-12205-6","article-title":"Health priority\u2011setting for official development assistance in low\u2011income and middle\u2011income countries: A best fit framework synthesis study with primary data from Ethiopia, Nigeria and Tanzania","volume":"21","year":"2021","journal-title":"BMC Public Health"},{"issue":"1","key":"key20260420072544_r16","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1007\/s40506-018-0142-3","article-title":"Implementing infection prevention and control programs when resources are limited","volume":"10","year":"2018","journal-title":"Curr Treat Options Infect Dis"},{"issue":"2","key":"key20260420072544_r17","doi-asserted-by":"crossref","first-page":"e2200051","DOI":"10.9745\/GHSP-D-22-00051","article-title":"Training a continent: A process evaluation of virtual training on infection prevention and control in Africa during COVID\u201119","volume":"11","year":"2023","journal-title":"Glob Health Sci Pract"}],"container-title":["Annals of Global Health"],"original-title":[],"link":[{"URL":"https:\/\/account.annalsofglobalhealth.org\/index.php\/up-j-agh\/article\/download\/5198\/4664","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/account.annalsofglobalhealth.org\/index.php\/up-j-agh\/article\/download\/5198\/4666","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/account.annalsofglobalhealth.org\/index.php\/up-j-agh\/article\/download\/5198\/4664","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T07:55:13Z","timestamp":1776671713000},"score":1,"resource":{"primary":{"URL":"https:\/\/account.annalsofglobalhealth.org\/index.php\/up-j-agh\/article\/view\/5198"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,20]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,2]]}},"URL":"https:\/\/doi.org\/10.5334\/aogh.5198","relation":{},"ISSN":["2214-9996"],"issn-type":[{"value":"2214-9996","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,20]]}}}